BC Affordable Application LIHTC HUD 6212017.pdf


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PRELIMINARY RENTAL APPLICATION

-Equal Housing OpportunityMANAGEMENT WILL PROVIDE HELP IN REVIEWING THIS DOCUMENT.
IF NECESSARY, PERSONS WITH DISABILITIES MAY ASK FOR THIS APPLICATION IN LARGE PRINT TYPE
OR OTHER ALTERNATE FORMATS.
Application Date:
Property Name:
Address:
City, State, Zip:
Telephone Number:
TDD#:
Email Address:

Barton Commons
34 East Street
New Milford, CT 06776
860-799-7544
Call 7-1-1
bartoncommons@hallkeen.com

Return Completed Application To:

Barton Commons
PO Box 248
New Milford, CT 06776

APPLICATION FOR ADMISSION

Note: Please fill in all sections completely. If a section does not apply, please draw a line through or write
“N/A”. Failure to do so will result in processing delays or rejection of your application. If you need help
completing this application, please contact the Rental Office.
Applicant: ____________________________________ Telephone:
Email Address:
Current Address:

Current Landlord:

___________________________________________
Street
___________________________________________
City, State

Apt. #
Zip Code

________________________________________
Name
___________________________________________
Street
___________________________________________
City, State

Telephone
Fax #
Zip Code

Email Address

RACE (Optional Section: Information will be used for fair housing programs only, as required by State and Federal Laws.)
American Indian/Alaskan Native

Asian or Pacific Islander

Other (not white or Hispanic)

Black (not of Hispanic origin)

Hispanic

White (not of Hispanic origin)

SIZE OF APARTMENT NEEDED:

0BR

1BR

2BR

N/A

N/A

N/A

How did you hear about this property?
6/2017 – LIHTC and HUD/LIHTC Combo

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